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Justin W. Timbie

Education

Overview

Justin Timbie is a senior health policy researcher at the RAND Corporation. His research focuses on evaluations of health care payment and delivery innovations, methods for measuring the performance of health care providers, and health policy issues involving safety net settings&mdash;particularly federally qualified health centers. Timbie has led evaluations of delivery system models such as patient-centered medical home initiatives, global payment programs, health information technology pilots, and distributed research networks. He provides technical assistance on policy analysis for the Office of the Assistant Secretary for Planning and Evaluation, including assessments of the impact of the Affordable Care Act on Public Health Service programs, changes in Medicaid payment policy, and primary care redesign in the Indian Health Service. With funding from the Agency for Healthcare Research and Quality, Timbie is examining high performing safety net health systems, the role of Medicaid Accountable Care Organizations (ACOs) in promoting clinical integration between medical and social service sectors, the impact of health system affiliation on safety net hospitals, and the unintended consequences of consolidation on safety net hospitals and practices. Timbie's work in quality measurement has included assessments of the quality of care and disparities within health systems and the development of new methods to benchmark the performance of health care providers and plans; methods to adjust performance estimates to account for patients' socioeconomic status. Timbie received his doctoral degree in health policy from Harvard University and completed a postdoctoral fellowship in the Veterans Affairs Health System in Ann Arbor, Michigan.

Languages

Publications

The Global Payment Program seeks to improve health care for California's uninsured by providing funds for both traditional and non-traditional services, settings, and providers. This is the report of the midpoint evaluation of the program.

In 2008, the Indian Health Service launched a patient-centered medical home (PCMH) initiative to improve the quality of care in its clinics. RAND researchers identified barriers and strategies to assist clinics on the path to PCMH recognition.

Fee-for-service Medicare beneficiaries who received their care at federally qualified health centers had fewer ambulatory visits and more visits to the ED compared to a matched comparison group of beneficiaries who received primary care from another source.

PCORnet, the National Patient-Centered Clinical Research Network, seeks to conduct clinical trials and observational research quickly and at low cost. This report contains the results of a formative evaluation of PCORnet's implementation phase.

This second of three reports follows the progress of a three-year project intended to support the transformation of federally qualified health centers into advanced primary care practices in support of Medicare beneficiaries.

RAND was asked to evaluate a demonstration of federally qualified health centers becoming advanced primary care practices for Medicare beneficiaries and to assess the effects on care provided. This is the first report in a series of three.

This report shares research and analyses of claims data related to the design of a payment model for specialty oncology services for possible testing by the Center for Medicare and Medicaid Innovation at the Centers for Medicare & Medicaid Services.

This report shares results of a simulation analysis of a payment model for specialty oncology services that is being developed for possible testing by the Center for Medicare and Medicaid Innovation at the Centers for Medicare and Medicaid Services.

Describes research related to the design of episode-based payment models for ambulatory gastroenterology and cardiology services for possible testing by the Centers for Medicare and Medicaid Services' Center for Medicare and Medicaid Innovation.

The creation of treatment guidelines and recommendations for future research represents an effort by leading experts to improve access to services for children with ASDs while acknowledging that the research evidence has many gaps.

This report describes a protocol for eliciting high-priority targets for electronic clinical decision support for individual clinical specialties, a central requirement of the federal electronic health record incentive program.

This book examines changes to California's workers' compensation affecting medical care provided to injured workers and identifies areas in which more changes could improve quality and efficiency of care.

This study examined the benefits of aggressively controlling blood pressure and cholesterol in diabetes patients and found that the potential benefits depend on a patient's underlying risk for cardiovascular disease.

Quoted

Primary care medical practices are rapidly adopting the patient-centered medical home model of care and one result may be that under-served patients use more services once it becomes easier to access care.

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